Dr. Talya Shaulov

Dr. Talya Shaulov diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Reproductive Health & Infertility (Endocrine Aspects)

• Hyperprolactinemia: Elevated levels of prolactin hormone in the blood, which can cause irregular periods, infertility, and milky nipple discharge (galactorrhea) in women, and low libido or erectile dysfunction in men.
• Male Infertility (Hormonal Causes, e.g., Hypogonadotropic Hypogonadism): Endocrine disorders contributing to male infertility, such as low testosterone production due to pituitary or testicular issues, affecting sperm production and function.
• Recurrent Pregnancy Loss (Endocrine Evaluation): Investigation into potential underlying hormonal factors that may contribute to repeated miscarriages, such as thyroid disorders, uncontrolled diabetes, or progesterone deficiency.

Bone Health & Mineral Metabolism Disorders

• Rickets & Osteomalacia: Conditions characterized by softening and weakening of bones, typically due to severe and prolonged vitamin D deficiency. Rickets occurs in children, leading to skeletal deformities, while osteomalacia occurs in adults.
• Disorders of Phosphate Homeostasis (Hypophosphatemia, Hyperphosphatemia): Imbalances in blood phosphate levels, which can be caused by various underlying conditions and affect bone health, muscle function, and energy metabolism.
• Osteopenia (Low Bone Mass): A condition where bone mineral density is lower than normal peak density but not yet low enough to be classified as osteoporosis. It indicates an increased risk for developing osteoporosis.

Thyroid & Parathyroid Gland Disorders

• Thyroid Nodules & Multinodular Goiter: Solid or fluid-filled lumps (nodules) that form within the thyroid gland, or an enlarged thyroid gland with multiple nodules. Most are benign but require evaluation for cancer risk.
• Hypothyroidism (Underactive Thyroid - e.g., Hashimoto's Thyroiditis, Post-Ablation): A common condition where the thyroid gland doesn't produce enough thyroid hormone, leading to symptoms like fatigue, weight gain, cold intolerance, constipation, and dry skin.
• Primary Hyperparathyroidism: A disorder where one or more parathyroid glands become overactive, producing too much parathyroid hormone (PTH), leading to high blood calcium levels (hypercalcemia) and potential bone and kidney problems.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Talya Shaulov.

• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.
• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.
• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Shaulov for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Shaulov's practice is located within the CHUM, clinique de fertilité, situated in Montréal's vibrant Ville-Marie East (Quartier Latin, Village) neighborhood. The clinic is conveniently accessible, being near the Ritz-Carlton Hotel and well-served by public transit, including the Société de transport de Montréal (STM) (Métro, Bus). The facility is wheelchair accessible to accommodate all patients, and paid parking options are conveniently located nearby, ensuring easy access for patients coming from different parts of the city or surrounding regions.

Are consultations, hormone tests, and treatments with Dr. Shaulov, an Reproductive Endocrinologist (Fertility Specialist), covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Reproductive Endocrinologist (Fertility Specialist) like Dr. Shaulov, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Shaulov's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.

Is a referral required to see Dr. Shaulov, an Reproductive Endocrinologist (Fertility Specialist)?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Reproductive Endocrinologist (Fertility Specialist) such as Dr. Shaulov. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

What conditions does an Reproductive Endocrinologist (Fertility Specialist) like Dr. Shaulov typically treat?

An Reproductive Endocrinologist (Fertility Specialist) is a medical doctor who specializes in diagnosing and treating diseases related to the endocrine system, which is the network of glands that produce and release hormones. These hormones control many important body functions, including metabolism (how your body gets energy from foods), growth and development, sexual function and reproduction, sleep, and mood. She is a Reproductive Endocrinologist (Fertility Specialist), concentrating on hormonal issues related to fertility, pregnancy, and reproductive health. Dr. Shaulov manages conditions such as diabetes, thyroid diseases (hyperthyroidism, hypothyroidism, nodules), osteoporosis, adrenal gland disorders (like Cushing's or Addison's disease), pituitary gland disorders, parathyroid and calcium imbalances, polycystic ovary syndrome (PCOS), and some forms of hypertension or lipid disorders related to hormonal imbalances.

What types of diagnostic tests are commonly used by an Reproductive Endocrinologist (Fertility Specialist) like Dr. Shaulov?

An Reproductive Endocrinologist (Fertility Specialist) like Dr. Shaulov utilizes a variety of tests to diagnose endocrine disorders. Blood tests are fundamental for measuring levels of specific hormones (e.g., TSH, free T4, cortisol, ACTH, testosterone, estrogen, LH, FSH, insulin, HbA1c, prolactin, PTH, calcium, vitamin D). She often orders dynamic endocrine function tests, where hormone levels are measured after administering a stimulating or suppressing agent (e.g., ACTH stimulation test for adrenal function, oral glucose tolerance test for diabetes/acromegaly, dexamethasone suppression test for Cushing's). Imaging studies like thyroid ultrasounds, CT scans, or MRIs of the pituitary or adrenal glands are common. Bone mineral density (DXA) scans assess for osteoporosis. For thyroid nodules, a fine-needle aspiration (FNA) biopsy might be performed or arranged.

What is Hormone Replacement Therapy (HRT) and when might Dr. Shaulov recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Shaulov might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Shaulov will discuss thoroughly.

What treatment options for osteoporosis might Dr. Shaulov discuss?

If you are diagnosed with osteoporosis, Dr. Shaulov will discuss a management plan aimed at reducing your risk of fractures. This starts with lifestyle modifications, including ensuring adequate intake of calcium and vitamin D (through diet and/or supplements), engaging in regular weight-bearing and muscle-strengthening exercises, smoking cessation, and limiting alcohol intake. Fall prevention strategies are also important. If medication is indicated based on your bone density (DXA scan) and fracture risk assessment (e.g., using FRAX or CAROC tools), options include antiresorptive medications that slow bone loss (like bisphosphonates or denosumab) or anabolic agents that stimulate new bone formation (like teriparatide or romosozumab). She will help choose the most appropriate therapy based on your individual circumstances, potential side effects, and treatment goals.

CHUM, clinique de fertilité
900 Rue Saint-Denis
Montréal, QC H2X 3H8

Phone: (514) 502-7958

The facility is wheelchair accessible.

Dr. Shaulov is a licensed Reproductive Endocrinologist (Fertility Specialist) regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral is typically required for consultations with Dr. Shaulov for services covered by the provincial health plan. Patients seeking fertility assessment may also be referred by their family physician or gynecologist.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=14500